JOHN G MICKELSON DO
NPI 1497773097
Family Medicine in Lincoln City, OR
About John G Mickelson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN G MICKELSON DO (NPI 1497773097) is an individual family medicine provider in Lincoln City, Oregon, licensed in Oregon (DO226460) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fargo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John G Mickelson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LINCOLN CITY, OR 97367
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Mickelson's NPI number?
The NPI number for John Mickelson is 1497773097. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is John Mickelson located?
John Mickelson practices at 2930 NE West Devils Lake Rd Ste 3, Lincoln City, OR 97367. The listed phone number is (541) 557-6427.
What is John Mickelson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Mickelson enrolled in Medicare?
Yes. John Mickelson is registered in the Medicare PECOS enrollment system.
What insurance does John Mickelson accept?
Health plans from Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company, Medica, Moda Health Plan, Inc. and Providence Health Plan and 2 other insurers list John Mickelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Mickelson was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John G Mickelson, DO · NPI 1497773097
Family Medicine physician in Lincoln City, Oregon. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1497773097 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO226460 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2930 NE WEST DEVILS LAKE RD STE 3, Lincoln City, OR 97367-5195
- **Phone:** (541) 557-6427
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497773097) · Data from the CMS NPPES public registry.